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Difficult Decisions in Head and Neck Oncologic Surgery pp 323–335Cite as

What Is the Best Imaging Modality to Predict Extracapsular Nodal Extension?

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Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

Abstract

The extracapsular spread (ECS) of metastatic lymph nodes is associated with aggressive tumor behavior, and is regarded as a major risk factor for local recurrence in patients with head and neck squamous cell carcinoma. Postoperative chemoradiation is superior to postoperative radiotherapy alone in patients with histologically proven extracapsular spread. If extracapsular spread can be detected preoperatively, patients may favor primary chemoradiation instead of primary surgery plus postoperative chemoradiation.

There is no consensus about which imaging modality is best for diagnosis of extra-capsular spread and in this chapter we review the literature and describe the strengths and limitation of each imaging modality and give a personal opinion about how this important finding should be viewed and correlated both clinically and histopathologically.

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Authors and Affiliations

  1. Department of Neuroradiology, Johns Hopkins Hospital, Baltimore, MD, USA

    Majid Khan, Benyamin Deldar & Nafi Aygun

Authors
  1. Majid Khan
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  2. Benyamin Deldar
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  3. Nafi Aygun
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Corresponding author

Correspondence to Majid Khan .

Editor information

Editors and Affiliations

  1. Department of Surgery, Section of Otolaryngology-Head and Neck Surgery, University of Chicago, Chicago, IL, USA

    Zhen Gooi

  2. Department of Surgery, Section of Otolaryngology-Head and Neck Surgery, University of Chicago, Chicago, IL, USA

    Nishant Agrawal

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Khan, M., Deldar, B., Aygun, N. (2019). What Is the Best Imaging Modality to Predict Extracapsular Nodal Extension?. In: Gooi, Z., Agrawal, N. (eds) Difficult Decisions in Head and Neck Oncologic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-15123-2_29

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  • DOI: https://doi.org/10.1007/978-3-030-15123-2_29

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-15122-5

  • Online ISBN: 978-3-030-15123-2

  • eBook Packages: MedicineMedicine (R0)

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